NPIMap

Organization Active NPI

Perfusion.Com, Inc

  • Perfusionist
  • Fort Myers, FL
National Provider Identifier
1144641093
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Legal business name
PERFUSION.COM, INC
Practice address
17080 Safety St Ste 109
Fort Myers, FL 33908-7506
Phone
(888) 499-5672
Fax
(888) 501-0844
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bryan V Lich, CCPNPI 1619398567
Title
President
Phone
(888) 499-5672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PerfusionistGroup: 193400000X SINGLE SPECIALTY GROUP 242T00000X Primary

Addresses

Primary practice location

17080 Safety St Ste 109
Fort Myers, FL 33908-7506

Mailing address

17080 Safety St Ste 109
Fort Myers, FL 33908-7506
Phone (888) 499-5672

Other names 1

  • PDC Other name

National Provider Directory

National Provider Directory

Locations

17080 Safety St
Ste 109
Fort Myers, FL 33908
Phone (888) 499-5672

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1144641093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17080 SAFETY ST STE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087506",
            "telephone_number": "888-499-5672",
            "fax_number": "888-501-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17080 SAFETY ST STE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087506",
            "telephone_number": "888-499-5672",
            "fax_number": "888-501-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFUSION.COM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "LICH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-499-5672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.